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General NPI Number Information
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NPI Number | 1669921581
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Entity Type | Organization
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Legal Business Name | A RAY OF HOPE LLC
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Dates
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Enumeration Date | 10/04/2016
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Last Update Date | 10/04/2016
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Provider Practice Location Address
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Address Line | 6218 E.15TH TERR.
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City | KANSAS CITY
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State | MO
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Zip | 64126
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Country | US
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Telephone | 816-231-2808
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Fax |
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Provider Business Mailing Address
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Address Line | 6218 E 15TH TER
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City | KANSAS CITY
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State | MO
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Zip | 64126-2652
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Country | US
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Telephone | 816-231-2808
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ETHELYN SEAMON RAY
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Credential |
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Telephone | 816-231-2808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 159014824
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License Number State | MO
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